@JoePinero GI bleeds have been a subject of significant research over the past decade. Let’s review the Rockall risk stratification tool. RISK STRATISFICATION TOOL ROCKALL SCORE: Score > 3 = good prognosis (rebleed < 11%, mortal…
@JoePinero Every critical care physician scoffs at the idea of placing a femoral central line, but are they correct? Do femoral central lines actually cause more infections than other sites?
@JoePinero A 40 yo M hx of HTN, HLD, DM, PVD, who can’t turn left, is not Derek Zoolander, he’s a man having a stroke! KNOW YOUR STROKE SYNDROMES!!! As we know, this is a favorite topic of the boards, and will time and again be…
by @JoePinero The next time you have a patient with a dislocated jaw, hand them a 5cc or 10 cc syringe and tell them to stop, drop, bite and roll!
Post by @JoePinero 25 yo M no phx, from Ecuador, in US for 6 months, CC 1 month of cough w/speckled hemoptysis, +intermittent subjective fevers responsive to tylenol/motrin. +Wt loss of 7-10 lb’s in past month. In Ecuador worked as fi…
A recent study published in JAMA, “Medicine’s Uncomfortable Relationship With Math: Calculating Positive Predictive Value,” highlighted a massive hole in our education. Out of 24 attendings, 26 residents, and a handful of…
Post by @FTeranmd Using a systematic approach when reading a brain CT will make you a better doctor Because you only see what you’re looking for. Don’t believe? watch: http://goo.gl/6sIZ9x A simplified and systematic approach to the evaluat…
Post by @Fteranmd 55 yo M active smoker presents to the ED complaining of months of persistent cough, associated with difficulty reading due to inability to fully open his left eye. Physical exam is remarkable for findings shown in the pict…
Post by @Fteranmd Thinking outside ACLS: Summary slide for conference lecture -Pathophysiology of Cardiac Arrest- http://edecmo.org/intra-arrest-goal-directed-monitoring-beautiful-nutshell-felipe-teran-md/
Post by @FTeranmd 55 yo F with PMHx of asthma who presented to the ED complaining of headache, low grade fever and word-finding difficulty. On further interrogation, patient endorsed having eaten Brie cheese recently. Her medications includ…